Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,238.72 / $5,754.40	Facility		$457.09	$2,238.72	$5,754.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $776.25 / $1,479.11 / $1,479.11	Facility	52	$776.25	$1,479.11	$1,479.11
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $112.20 / $186.21 / $288.40	Facility	53	$112.20	$186.21	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $1,023.29	Professional		$177.83	$331.13	$1,023.29
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $79.43 / $144.54 / $257.04	Professional	53	$79.43	$144.54	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $269.15	Professional		$147.91	$177.83	$269.15
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $47.86 / $87.10 / $138.04	Professional	53	$47.86	$87.10	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,862.09	Facility		$1,047.13	$1,258.93	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $602.56	Professional		$407.38	$407.38	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $794.33 / $2,454.71	Facility		$676.08	$794.33	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $660.69	Professional		$208.93	$346.74	$660.69
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $190.55 / $190.55 / $323.59	Professional	53	$190.55	$190.55	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $416.87 / $1,995.26	Facility		$213.80	$416.87	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $2,754.23	Professional		$331.13	$537.03	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,174.90 / $3,311.31	Facility		$676.08	$1,174.90	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $331.13 / $537.03	Professional		$194.98	$331.13	$537.03